| NPI | 1154583946 |
|---|---|
| Doing Business As | BRADLEY BAY - LABORATORY |
| Entity Type | Organization |
| Authorized Contact | JOHN T. O'NEILL Managing Member 440-327-9777 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D0339064) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |